Displaying 41 - 60 of 486
| Contract Number | Brand Code | Drug | LAgent Code | Drug Contract Start Date | Drug Contract End Date | Formulary Category | Package Size | Protocol Monthly Max | Package Price | Contract Changed | Change Date | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 40 | 5842BP | APO-LISINOPRIL 20MG TAB (APO/COL) | COL | 2022-05-23 | 2024-03-31 | A | 100'S | 60 | 8.15 | Add to Contract as Cat A | 2022-05-23 | ||
| 40 | 5843DF | APO-RAMIPRIL 2.5MG CAP (APO/COL) | COL | 2022-07-27 | 2024-03-31 | A | 3X10 | 30 | 2.15 | Price Change | 2022-07-26 | ||
| 40 | 5281BV | APROCIN 0.3% EYE DR (ARP/AHI) CIPROFLOXACIN | AHI | 2022-04-01 | 2022-09-30 | BH | 10ML | 0 | 8.15 | 2022-03-29 | |||
| 40 | 1421CF | ARAMOL 500MG TAB (CAR/COL) PARACETAMOL | COL | 2022-06-30 | 2024-03-31 | A | 500'S | 180 | 14.78 | Add to Contract as Cat A | 2022-06-30 | ||
| 40 | A3939 | AROFLO 125MCG | 25MCG INHR (ARP/AHI) FLUTICASON | AHI | 2022-04-01 | 2022-06-30 | A | 120 DOSES | 1 | 21.67 | 2022-03-29 | |||
| 40 | A396A | AROFLO 250MCG | 25MCG INHR (ARP/AHI) FLUTICASON | AHI | 2022-04-01 | 2022-06-30 | A | 120 DOSES | 1 | 32.27 | 2022-03-29 | |||
| 40 | 13028 | ASPIRIN DISPERSIBLE 300MG TAB (ACD/AHI) | AHI | 2022-04-01 | 2024-03-31 | A | 32'S | 30 | 8.15 | Add to Contract as Cat A | 2022-03-11 | ||
| 40 | 1306AS | ASPIRIN E.C. 81MG TAB (REL/PHA) | PHA | 2022-04-01 | 2022-07-18 | A | 1000'S | 60 | 25.50 | Price Change | 2021-11-10 | ||
| 40 | 1306AS | ASPIRIN E.C. 81MG TAB (REL/PHA) | PHA | 2022-07-19 | 2024-03-31 | A | 1000'S | 60 | 20.97 | Price Change | 2022-07-18 | ||
| 40 | 1132GU | ATORVASTATIN 20MG TAB (UME/AHI) | AHI | 2022-04-01 | 2022-10-19 | A | 3X10 | 30 | 4.65 | Delete from contract | 2022-09-07 | ||
| 40 | 1132GU | ATORVASTATIN 20MG TAB (UME/AHI) | AHI | 2023-03-20 | 2024-03-31 | A | 3X10 | 1.74 | Add to Contract as Cat A | 2023-01-12 | |||
| 40 | 1133DC | ATORVASTATIN 40MG TAB (FSB/ATB) | ATB | 2022-04-01 | 2023-03-31 | A | 10X10 | 60 | 10.75 | 2022-03-30 | |||
| 40 | 07229 | AVEXA 30MG TAB (MBL/AHI) DEFLAZACORT | AHI | 2022-04-01 | 2024-03-31 | C | 1X10 | 0 | 29.00 | Add to Contract as Cat C | 2022-03-10 | ||
| 40 | 0131CW | AZITHROMYCIN 40MG/ML SUSP (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 15ML | 30 | 4.76 | 2022-03-30 | |||
| 40 | 4021C | AZITHROMYCIN 500MG INJ (DIL/AHI) | AHI | 2022-04-01 | 2022-09-30 | BQ | 10X500MG | 0 | 403.83 | 2022-03-29 | |||
| 40 | 0141GX | AZITHROMYCIN 500MG TAB (FSB/ATB) | ATB | 2022-04-01 | 2024-03-31 | A | 30'S | 7 | 13.65 | Add to Contract as Cat A | 2022-03-21 | ||
| 40 | 0141GZ | AZITHROMYCIN 500MG TAB (FSB/ATB) | ATB | 2022-04-19 | 2024-03-31 | A | 100'S | 7 | 43.68 | Add to Contract as Cat A | 2022-04-19 | ||
| 40 | 0314L | BACTIGRAS 10CMX10CM (SMN/IMS) CHLORHEXIDINE | IMS | 2022-04-06 | 2024-03-31 | A | 10'S | 10 | 29.00 | Add to Contract as Cat A | 2022-04-06 | ||
| 40 | 4253U | BANEOCIN 250IU | 5MG OINT (BCH/COL) BACITRACIN | NEOMYCIN | COL | 2022-04-01 | 2022-05-24 | A | 20G | 2 | 5.25 | Delete from contract | 2022-04-12 | ||
| 40 | 15029 | BARBIFED 30MG TAB (FED/ATB) PHENOBARBITONE | ATB | 2022-05-11 | 2024-03-31 | A | 500'S | 180 | 22.75 | Change Local Agent | 2022-05-11 | ||